HoNOS 65+ (Older Adults)

Background

These are 12 scales that are used to rate older adult mental
health service users. Together, they rate various aspects of mental
and social health, each on a scale of 0-4. They are designed to be
used by clinicians before and after interventions, so that changes
attributable to the interventions (outcomes) can be measured. The
scales are as follows:

Problems with work and leisure activities - quality of day time
environment

Each scale is rated as follows

0. No problem

1. Minor problem that is non-clinical:
i.e. would not normally lead to intervention

2. Mild problem (that would justify
intervention

3. Moderate problem

4. Severe problem

HoNOS65+ Training Options & Costs

The arrangement of training for HoNOS65+ reflects the different
needs of organisations and individuals as much as possible. These
are affected by previous training experiences (e.g. in HoNOS for
working-age adults), the degree of management support, the level of
interest in implementing routine clinical outcomes at a local
level, and the likelihood of such implementation. It is constrained
by the fact that clinicians that carry out the training have to be
released from their duties in order to do it, as well as the impact
of spending free time away from home.

We aim to be as flexible and accommodating as possible. There are 2
levels of training- for raters and potential trainers.

Raters

Training for individuals: this can be arranged
at sessions in South London for groups of up to 6 raters who would
join local raters new to HoNOS65+. These occur in August and
February to coincide with the arrival of new junior doctors. The
cost is £10 per head for refreshments & materials. Some
elements of the training will not be relevant to most other
organisations (e.g. intervention coding).

Training for groups of raters: this can be
arranged wherever you wish. 1 trainer will train up to 30 staff in
a single day of training at a cost of £600 plus expenses. At
present HoNOS65+ trainers come from the South East so overnight
accommodation prior to the training day may be required in other
parts of the UK.

Potential Trainers who must satisfy these criteria:

have been trained in HoNOS65+ as raters (or HoNOS)

have carried out HoNOS65+ ratings regularly for at least 3
months and have carried out at least 20 ratings

1. Individual potential trainers can attend a
day in South London at which local trainers are being trained. Up
to 3 trainers can be accommodated but only on certain dates. The
cost is £60 per head including refreshments, training video, CDROM
and presentation material.

2. Training for groups of potential trainers:
this can be arranged wherever you wish. A single trainer will train
up to 15 potential trainers in a single day of training at a cost
of £1200 plus expenses. At present HoNOS65+ trainers come from the
South East so overnight accommodation prior to the training day
will be required in other parts of the UK. The cost includes
training video, CDROM and presentation material.

Intensive training days for organisations who
wish to train trainers from scratch in one day are no longer
available.

Please note that part of the training for trainers now involves
an assessment of the potential trainer's knowledge of HoNOS65+, and
that only potential trainers who achieve a basic competence will be
approved as trainers. We invite all accredited trainers to join a
virtual community for help and mutual advice.